The nurse is suctioning a client via an endotracheal tube. during the suctioning procedure, the nurse notes on the monitor that the heart rate is decreasing. which nursing intervention is appropriate?

Respuesta :

If the nurse notices a decrease in the heart rate, she should stop the procedure and reoxygenate the client. Thus, option 3 is correct.

         An endotracheal tube is a polyvinyl chloride tube that is inserted through the mouth and placed between the vocal cords via the trachea. It is mainly used to provide oxygen and other gases to the lungs of the patient in cases like pneumonia, emphysema, heart failure, breathing problem, or severe trauma and stress.

         During the suction, if the nurse notices that the heart rate is decreasing, she should stop the suction and provide oxygen to the patient. Without oxygen, the patient will not be able to survive. Thus, oxygen should be provided first.

          Notifying the health care provider might take time, and the level of oxygen might drop further in that time. Thus, the nurse should take the necessary actions herself.

The complete question is given below:

The nurse is suctioning a client via an endotracheal tube. During the suctioning procedure, the nurse notes on the monitor that the heart rate is decreasing. Which nursing intervention is most appropriate?

1. Continue to suction.
2. Notify the health care provider immediately.
3. Stop the procedure and reoxygenate the client.
4. Ensure that the suction is limited to 15 seconds.

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